Organization Name: | CARE SOLUTIONS MEDICAL GROUP LLC |
NPI Number: | 1740464825 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDY PINA (MANAGER) |
Mailing Address: | 15529 Bull Run Road Miami Lakes |
State: | FL US |
Postal Code: | 33014 |
Phone Number: | 3054553200 |
Fax Number: | 3054553202 |
NPI Enumeration Date: | 12/24/2007 |
NPI Last Update Date: | 04/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |